All states › Missouri › University City › Monarch Springs Wellness & Rehabilitation
894 Leland Avenue University City, MO 63130 · St. Louis County
CMS certification number 265831 · See this home on Medicare Care Compare
Is Monarch Springs Wellness & Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Monarch Springs Wellness & Rehabilitation as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.36 hours per resident per day at Monarch Springs Wellness & Rehabilitation, about the same as the Missouri median of 3.37 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 2.96 hours, 12% below its all-week average. 61.7% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at Monarch Springs Wellness & Rehabilitation: Medicare and Medicaid
Monarch Springs Wellness & Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 7, 2026 and found 10 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 38 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 38 citations at Monarch Springs Wellness & Rehabilitation across 7 inspection dates, 7 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on January 31, 2025. The most common areas cited were resident rights (9) and pharmacy service (6). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, January 31, 2025).
May 7, 2026 · 11 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DReasonably accommodate the needs and preferences of each resident.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DEnsure services provided by the nursing facility meet professional standards of quality.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure medication error rates are not 5 percent or greater.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
DProvide and implement an infection prevention and control program.
CThe resident has the right to receive notices in a format and a language he or she understands.
March 20, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 31, 2025 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
January 31, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 12, 2024 · 11 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FHire a qualified full-time social worker in a facility with more than 120 beds.
FProvide and implement an infection prevention and control program.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EDispose of garbage and refuse properly.
DEnsure each resident receives an accurate assessment.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CPost nurse staffing information every day.
May 2, 2024 · 3 citations · includes complaint inspection
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
December 9, 2022 · 10 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EHire a qualified full-time social worker in a facility with more than 120 beds.
EProvide and implement an infection prevention and control program.
DAllow residents to self-administer drugs if determined clinically appropriate.
DReasonably accommodate the needs and preferences of each resident.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DKeep all essential equipment working safely.
CEnsure staff are vaccinated for COVID-19
Questions to ask on a tour of Monarch Springs Wellness & Rehabilitation
- Inspectors cited the home at the actual-harm level on January 31, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 46% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 1/5 | 2/5 |
| August 2026 | 2/5 | 3/5 | 1/5 | 3/5 |
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Location
Hospitals near Monarch Springs Wellness & Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.9 mi
SSM St Mary's Health Center St LouisEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 46m for patients treated and sent home
- 2.5 mi
- 2.7 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Monarch Springs Wellness & Rehabilitation › All nursing homes in University City ›
Compare Monarch Springs Wellness & Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Christian Extended Care & Rehabilitation · Saint Louis · 5 stars · 8.7 mi
- Aberdeen Heights · Kirkwood · 5 stars · 8.8 mi
- McKnight Place Extended Care · Saint Louis · 4 stars · 4.1 mi
- Lutheran Convalescent Home · Webster Groves · 4 stars · 4.3 mi
Other Opco Skilled Management nursing homes in Missouri
- Sunrise Nursing & Rehabilitation · Raymore · 3 stars
- The Hilltop at Blue River · Kansas City · 2 stars
- The Rehabilitation Center of Independence · Independence · 2 stars
- Willowcreek Wellness & Rehabilitation · Florissant · 1 stars
- Country Villa Wellness & Rehabilitation · Creve Coeur · 1 stars
- Rehab of Kansas City South · Kansas City · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 68 Opco Skilled Management nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.